NPI | 1861666356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 8814) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 8814) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2008-04-16 |